HomeMy WebLinkAbout217 Alderwood Cir - Building ELECTRICAL PERMIT p
CITY OF PORT ANGELES O'
360- 417 -4735
Application Number 12- 00000004 Date 1/05/12
Application pin number 525672
Property Address 217 ALDERWOOD CIR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 16 -5 -4- 0030 -0000- on your excise tax form
Application type'description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 circuit ductless heat pump
Owner Contractor
PIERATT WILLIAM L EXTRA MILE TECH ELECT., LLC
217 ALDERWOOD CIR 418 N. RACE ST.
PORT ANGELES WA 983626902 PORT ANGELES WA 98362 �1
(360) 457 -0198 4457 8 7 64
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date 1/05/12 Valuation 0
Expiration Date 7/03/12
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
0
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN 1) 94`1.
r
FINAL 119 (Z— WO.
t
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or. Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
oFpoRTgN ELECTRICAL INSPECTION
ma y WIRI T
OR 417 -4735
DATE PERMIT INSPECT• R
OWNER/ ONTRACTOR
L 7) 7r
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
t agr 14-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
JAN -03 -2012 12:49 PM E.JANSSEN 366 452 2982 P.01
E4 EivED
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CITY OF PORT ANGEL,FS P'FR.IM1T APPLICATION r
Building Divirxion /Flcctricul Inspections
ELECTRICAL i„
-g.
321 East Fifth Street P.O. Box 1150 Pert Angeles Washington, 98362 I
Ph: (360) 417-4735 Fax: (360) 417 4711
1 2 Single Family Dwelling Multi Family or Commercial" Commerc Arldiliorl Alteration I Remodel Repair'
Plan Review May Be Required, P'le.ase Complete Effect ical Plan R Information Shoe!
.lob A dd rease: 1 7 '..:...:;..../..i7
Description of above o 4?.
Owner Information 17 aractor I orrn
�`J
Name �..LJA...._ (4. KLel- e i... -_f rr.- Name: F x_rh'/I lea' i." c ":.,.r =y c L_C f r[ `r
Maiiirx3 td dress L.1.. 111 t.c i_L 1.. smiting
oress .0..._.41..-7 1 S• T
City: f /•tJ/ Slate: �JE9- Zir' a_. t.� CO: _.1 Jb c, c Stag u h. p Za (1...A. C__.
Phone: '$s (0 Phony:_= /617 s.J.:A.l..._ (:,7%:..`15;7 cf(
license I Exp
Item Unit Charge gty Total (OtV flduit�i liosi b1r Unit Cltarge1
Service/Feeder 200 Arnri. 119.90 3_..
SorviwlFeede.20140UAmp. :1145.5(1 S..
Service /Feeder 401.600 Amp S Z94,60 3
Service /Feeder 601 -1000 Amp. 3 232.20 3
ServIceIFcledel over 1000 Amp. 5 72.5(!
Branch Circuit W/ Service Feeder 5 2.60
Branch Circuit W!0 Service Feeder 1 50 1„ 7..9....5.4
Each Additional Branch Circuit 5 2 60
Temp. Service/ Feeder 200 Amp 5 52 70
Temp. ServioelFeeder 201 -400 Amp. 3 110.30 3
Temp. Servc;e,Feeder 401 -600 Amp. 3 140 7;•
Temp. Service, Feeder 601 1000 Amp 3 i :3/ .90
Portal to Portal Hourly 95.90
Sign/Outline I_.ghting 66.20
Signal Circuit/ Limned Enemy !First 1500 Commercial 05 9(
Note. $5. )0 for each additional 1500 .r
Signal Circuit/ ;_imited Energy 1 2 Family Dwrallinc, 5 63.90 3
Signal Circuit :.invited Energy Multi Family Dealing 5 (33.90 3
Manufactured •-some Connection 5 110.90 a
Renewable F1 >.ct7+cal Energy -.5KVA System or r ss 02.30 E.
Thermostat 56 00
NEW CQNSTRUC710NIMI Y
First 1300 Square Ft a :10 30
Each Addit1onel 600 Square Ft. or Portion o 35.20
Each Outbuilding or Detached Garage 3.50 3_____...
Each Swimrnlrg Pool or Hot Tub .0 30 3
Total I/o5—
Owner as defined by RCW.19.28.261. (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is requinld
to hire an electrical contractor If above said property is for sale, rent or lease. Permit expires after six months of last inspection
After reading the above statement, 1 hembv certify that 1 am the owner of the above named property or :icensed electrical contractor. I .am making
the electrical Installation or alteration in compliance with the electrical laws•'N.E.C., RCW. Chapter 19.2ts, WAC. Chapter 296 -4613. The City of Port
Angeles Municipal Code, and Utility Specifications and'PAMC 14.05.050 regarding Electrical Permi c pplic:ations.
Signature of owner, electrical contractor or electrical administrator: F1 cash r: r,rcH
Credit Ca a
X Anled I Z 0110112010
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001458 Date 12/30/11
Application pin number 631616
Property Address 217 ALDERWOOD CIR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-16-5-4- 0030 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 3985
Application desc
DUCTLESS HEAT PUMP
Owner Contractor
PIERATT WILLIAM L DAVE'S HTG COOLING SRVC INC
217 ALDERWOOD CIR PO BOX 413
PORT ANGELES WA 983626902 PORT ANGELES WA 98362
(360) 452 -0939
Permit MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 12/30/11 Valuation 0
Expiration Date 6/27/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
(�l
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. '1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions.
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
A// Tha/Lda%i?
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
N
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
O
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab A/40
Blocking Hold Downs
Skirting
DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Buildinq Division /Building Permit
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Dec 29 11 12:46p Dave's Heating Cooling 3604520939 p.1
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received iv-w
Permit 11
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by Ado
321 E. 5'" St., Port Angeles, WA 96362
360 417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Exi-
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: Phone:
-e- a► z� TSB -o 7 7
Property owner:
1.0 c y- Phone: g
Property owner's mailing address:
k A ice: L--r
'G O RY
Contractor's business name: =p �v.Q i S —F, Phone L
(or property owner's name if he /she is doing /overseeing the womb)
Contractors mailing address:
Pa, x C- f nt
Contractor's L &I license number: date:
K c., f� o /3
Project Address:
.2 A( (,)00 g c-Ce,
Project Type: ,Residential Commercial Industrial Multi- family
Project Business Name:
(for commercial, industrial, or multi- family projects)
The following permits are usually issued over -the- counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: o house o garage oher
O tear off re -roof o lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation S J (labor materials, not including sales tax)
Re -side: on house n garage o other
Project Valuation 8 (labor materials, not including sales tax)
Repair: Jexplain the project)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation S
T :Forms /Building Division /Building /Plumbing /MBchanical Permit Application Short Form (Revised'2011)
Page l• of 2
Dec 29 11 12:46p Dave's Heating Cooling 3604520939 p.2
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that
do not re. uire Dian review:
Obtain the City of PA h ridout entitled `Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is n -eded when an entire building gets demolished.
What will be demolished? c house n garage 0 other
Note: some demolition permit applicatio s need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City o• PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City o RA) a copy of the Olympic Region Clean Air Agency ORCAA)
Demolition Permit Ap i lication.
Contact ORCAA at 361 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
n yes a no Will the debris be. going to the Regional Transfer Station in Port Angeles?
C3 yes a No If yes, will a licensed cDntractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
Project Valuation
1 have read and completed this application and know it to be true and correct 1 am authorized to apply for this permit
and understand that it is my responsitility to determine what permits are required, and to obtain permits prior to
working on projects_
r
Date 1,a(9 f 11 Signature i"Sl,
Print Name
Page 2of2
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. S.;i/~
11/(,/9';-
F ..
DATE
Site Address: .;;21
Installed By:
Ci
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
OwnerlBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
~ FAN/WALL KW,/. S
j!f RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
1)r'REMODEL
b ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
oq:l 03~
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
w~~
/$?SO uA1-lT kr- ~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
I ~ ~ROugh-in/cover O.K.
/1IJf 0 O.K. to cO~4
'!@ Final O.K.
Site Address:
/f/~
Permit/Receipt No.
s:s/G
Installer:
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before ,inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building P~ PHONE 457-0411, EXT. 224. #"
r;-#1A, NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT ~ J 0
. $
Electrical Inspector Permit Fee
WHITE -, File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: MeIer Dept., Bottom: City Hall
OLYMPIC PR:NTERS INC